Individual
BAHADOR POORAHMARY KERMANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1505 PIERCE AVE NE, RENTON, WA 98056-3374
(425) 351-5408
Mailing address
1505 PIERCE AVE NE, RENTON, WA 98056-3374
(425) 351-5408
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60304011
WA
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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